The impact of home‐based pulmonary rehabilitation on people with mild chronic obstructive pulmonary disease: A randomised controlled trial

Autor:	Sarah Rawlings, Christine F McDonald, Rosemary Moore, Amanda Nichols, Narelle S Cox, Anne E Holland, Aroub Lahham, Athina Liacos
Rok vydání:	2020
Předmět:	Male Pulmonary and Respiratory Medicine Respiratory Therapy medicine.medical_specialty Time Factors medicine.medical_treatment Vital Capacity Walk Test Exercise intolerance law.invention Pulmonary Disease Chronic Obstructive Randomized controlled trial Quality of life law medicine Humans Immunology and Allergy Pulmonary rehabilitation Genetics (clinical) Aged COPD Exercise Tolerance business.industry Middle Aged medicine.disease Home Care Services Confidence interval Clinical trial Dyspnea Treatment Outcome Mild chronic obstructive pulmonary disease Quality of Life Physical therapy Female medicine.symptom business
Zdroj:	The Clinical Respiratory Journal. 14:335-344
ISSN:	1752-699X 1752-6981
DOI:	10.1111/crj.13138
Popis:	INTRODUCTION People with mild chronic obstructive pulmonary disease (COPD) experience exercise intolerance, dyspnoea and poor quality of life. However, the role of pulmonary rehabilitation (PR) in this group is unclear. OBJECTIVES This randomised controlled trial aimed to explore the effects of home-based PR in people with mild COPD. METHODS People with mild COPD (FEV1 /FVC 80%predicted) with a smoking history of ≥10 packet years were randomised to either 8 weeks of home-based PR (one home visit and seven once-weekly telephone calls) or standard care (weekly social telephone calls). Six minute walk distance (6MWD), and Modified Medical Research Council Dyspnoea Scale (mMRC) and Chronic Respiratory Disease Questionnaire (CRQ) scores were compared. RESULTS A total of 58 participants (34 males, mean age 68 (SD 9) years, FEV1 %predicted 90 (7), 6MWD 496 (105) m) were included with 31 participants randomised to home-based PR. Participants attended an average of 6.8 of the 8 scheduled sessions, ranging from 3 to 8 sessions. Both groups showed improvements in exercise capacity, symptoms and health-related quality of life (HRQoL) over time, however there was no difference in 6MWD at end-intervention (mean difference -3 m, 95% confidence interval (CI) -64 to 58) or 6 months (7 m, 95% CI -59 to 72). At 6 months home-based PR participants were more likely to have clinically important improvements in CRQ emotional function (50% of home PR vs 0% control, P
Databáze:	OpenAIRE
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